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1720759087
FRANCINE STACZEK
PORTLAND, OR
NPI
1720759087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 461928)
Enumeration Date
2021-09-25
Last Update Date
2021-09-25
Business Address
FRANCINE STACZEK COTA/L
1475 SE 100TH AVE
PORTLAND, OR 97216-2537
Phone number: 503-262-6000
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Mailing Address
FRANCINE STACZEK COTA/L
3650 SE RURAL ST
PORTLAND, OR 97202-8365
Phone number: 503-771-2600
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